Permit '11'...-,'')" 1;r1i1 Ygt CITY OF TIGARD PLUMBING PERMIT
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E. . ° - i, COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00021
TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/25/2008
PARCEL: 2 S 111 AD - 02200
SITE ADDRESS: 14575 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: PINEBROOK TERRACE LOT: 019 JURISDICTION: TIG
PROJECT: HENRY
Project Description: water heater
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
HENRY, LYNN A
14575 SW 88TH AVE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 1/25/2008 $72.50
[TAX] 12% State Surch 1/25/2008 $8.70
Phone : 503 -639 -6489 Total $81.20
Contractor:
COLUMBIA CONTRACTING SERVICES INC
38197 SE HUDSON
SANDY, OR 97055 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 225 -0774
FAX 503- 668 -3701
Reg #: LIC 103764
PLM 3 -505PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By:a� �, �? ... j '.ermittee Signature: .,.-r."7i.' N-
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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4175 CITY OF. p ,�
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0 Omer: l -2- y she a rawhides 0. fo
des 100 r each utility - . ,1
` •ri d ' ° , ; _ SFR (1) bath ■ 24920 ■ ■
• - aad a.fitnaly dwelling ❑ Conintercialfindustrid S R (2) bath 350.00 11
n budding 0 Multi - roily sFx 0) bath ■ 399.00
Q Master builder v Other East ad onal bathAdtchea 45,00 1.1 II
t ea- - i'�*%i •.�"- yg s �� r •- . - -ice_ Aim gelid (--. ft) r �2 al :
kb site address: 7 J 64.) ./ - ' Catch basin orates drain 16.69
Ctry/Stsle!$W: /' Duet* loath line, or teach death 16.60 - III
Saito/bldg./am. so ter. Footing dude (ao. linear ft: _,_) page 2 11 I
Masuiictured home Whim ■ 110.00 ■I
Does streetidlireetions to job site: Meabolea 16.60 ■1 ■
Ram drain ammeter 16.60 ■I■
Sanitary se (ems bear it: .� : ■ ■
Storm souirrton Mum ft: _.,
Subdivision: Lot no.: water service (no. leaser R: .......) 103 a
Taxmsplparoe! no.: _ : ... M �r p ;:rte ^:` AboWptioo valve 16.60 111 ■
11adc8owpeeveatas � 11111.
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-.` � Badlwa0lrwlre 16.60 Il
clothes wsrtaer ■ 16.60 ER III
Dishweaber 16.60 :.;,,:-...;..:::'• r7¢+`" .. _ X--. ..�. ;, . r �:r:. Maki D 6lU117� I ■
• 16.60 I
Rectors/sump
■ 16,60 1 ■ Li 16.60 ! 11 Address:
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cay erg: T; - , 4,..„ 0 2 ct �. Fr ee ,h ■ 16.60 m■ ■
Pont ( ) - '�- ,r , •, Fax ( ) 1 16 16.60 i III
1610 1 �
4i iG> C• . • Wig: <4�r'.;a tt a T: �,. c_ii�c,i N Ram bib 16.60
Business name:
Ice maker 16.60 t 111
Contact trams lateme aterfarasetraP 11111 16 . 6 0 M.
Medico! par (vahaec $ ) r Page 1 .
Address: Prima
OM 164° .60 II
lZoofdada(a a al) 16.60 1 11
Phase: ( ) Fax:: ( ) avatcay 16.60 MI r
&mad; raftishoaahbonerpm 1660 ,
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Business > � ����. _ .. :. way 16.60 r■ mil
Address: . ' G- Se 1640 ■■ II
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Situate 111 1
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